Anand K.S.,Drrml Hospital And Pgimer |
Wadhwa A.,Drrml Hospital And Pgimer
Journal International Medical Sciences Academy | Year: 2016
A constellation of six cardinal features helps in diagnosing parkinsonism. A detailed history and meticulous clinical examination with reference to extrapyramydial system, autonomic functions and neuro ophthalmologic signs might be helpful in differentiating Parkinson's disease from atypical causes of parkinsonism. The vivid phenotypic spectrum of atypical parkinsonism makes the early differential diagnosis challenging and puts a lot of burden on investigations and neuro imaging. These may play a supportive role, but their sensitivity and specificity are low and a good clinical examination is imperative to reduce its cost. This review briefly discusses these issues and might prove helpful in diagnosing various parkinsonian disorders at an early stage decreasing the cost of investigations and help in prognosticating the care givers about these syndromes.